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CASE CHALLENGE

Can you make the diagnosis?

Use the clinical clues, choose the most likely diagnosis, then reveal the explanation.

TODAY'S CASE

Acute abdominal signs in a dog

A 4-year-old dog presents with repeated vomiting, anorexia, cranial abdominal pain and dehydration. Serum pancreatic lipase is markedly increased.

What is the most likely diagnosis?

DIAGNOSIS

Acute pancreatitis

The combination of vomiting, anorexia, cranial abdominal pain and increased pancreatic lipase is most consistent with acute pancreatitis. In clinical practice, diagnosis should integrate history, examination, laboratory testing and imaging.